Antimicrobial resistance (AMR) has become one of the defining challenges of the twenty-first century. Food production and farming are a key if troubling component of that challenge. Livestock production accounts for well over half of annual global consumption of antimicrobials, though the contribution of the sector to drug resistance is less clear. As a result, there is an injunction to act in advance of incontrovertible evidence for change. In this paper we engage with the role of market actors in the (...) precautionary regulation of farming practices and AMR threats. The paper takes the UK poultry sector as exemplary of an audit-led process that has, in recent years, achieved impressive reductions in antimicrobial use. Using qualitative interview data with farmers and veterinarians we chart the changing practices that have accompanied this reduction in treatments. We use this analysis to raise some cautions around audit-led systems of regulation. Audits can lock farms and animals into particular versions of farming and animal health; they can elevate harmful compensatory practices (including disinfectant uses); and they can reproduce an actuarial approach to an issue that does not fit the conventions of risk management. The paper presents the considerable successes that have been achieved over a short period of time in a livestock sector, while generating notes of caution concerning the audit-led management of livestock-related AMR threats. (shrink)

ObjectivesWorking-age cancer patients face barriers to resuming work after treatment completion. Those resuming work contend with reduced productivity arising from persisting residual symptoms. Existing studies of return to work after cancer diagnosis were done predominantly in Western countries. Given that employment and RTW in cancer survivors likely vary regionally due to healthcare provision and social security differences, we documented rates and correlates of RTW, work productivity, and activity impairment among Chinese cancer survivors in Hong Kong at one-year post-treatment.MethodsOf 1,106 cancer (...) patients assessed at six-months post-cancer treatment, 593 previously worked; detailed work status, psychological distress, physical symptom distress, supportive care needs, health-related quality of life, and illness perception were assessed. Six months later, work productivity and activity impairment were assessed. Descriptive analyses examined RTW rate. Fully adjusted regressions determined RTW, work productivity, and activity impairment predictors.ResultsAt baseline, 39% were working, 26% on sick leave, and 35% were unemployed. Compared to patients returning to work, unemployed participants were older, likely manual/service-oriented workers, and had lower family income, chemotherapy, fewer unmet health system and information needs, poorer physical functioning, and negative illness perceptions. Sick leave participants were likely service-oriented workers, who had head and neck cancer, chemotherapy, and poor physical functioning. At FU, baseline depressive symptoms, physical symptom distress, and negative illness perceptions predicted presenteeism and work productivity loss; gynecological cancer, fewer unmet health system and information needs, and greater unmet sexuality needs predicted absenteeism; physical symptom distress, negative illness perception, and poor physical functioning predicted activity impairment.ConclusionCancer survivors who had more physically demanding jobs and poorer physical functioning delayed RTW. Unmanaged physical symptom and psychological distress hindered work productivity. (shrink)

The volume is inspired by Gilles Deleuze's philosophical project, which builds on the critique of European Humanism and opens up inspiring new perspectives for the renewal of the field.

This Source Book is devoted to the purpose of providing such a basis for genuine understanding of Chinese thought (and thereby of Chinese life and culture, ...

This book brings together leading scholars and practitioners from the United States, Europe, and Asia. The contributors come from different disciplines, including medicine, criminology, sociology, psychology, forensic sciences, and law. As a group, they have the background to discuss and conduct research in the area and to propose and critique theories and typologies of animal cruelty. In addition, they have the expertise to evaluate policy issues and to recommend best practices for protecting animals and intervening with those who abuse or (...) neglect them. (shrink)

In the fifth year of the reign of Shaoxi [in the Song dynasty]—in other words, in the year 1194 A.D.—Zhu Xi was returning to his home province after he had been relieved of his position at court as daizhi shijiang when, in the eleventh month of that year he came to Yushan county in Jiangxi Province. The governor of the district invited Master Zhu to give a number of lectures at the local county school, and Master Zhu complied, discoursing on (...) essential teachings in response to the questions that were raised by the students as well as in response to the lectures given by other scholars. At one point, the record says, the scholar Cheng Gong1 rose to ask the question: "Philosophers prior to the Three Ages only spoke about zhong and ji ; how come, then, that when it came to the time of the dialogues of those in the school of Confucius, everything seemed to revolve around the word ren ?" Master Zhu replied: "The discussions of zhong and of ji have often tended to make people misunderstand the meaning of what they were actually saying; alas, we do not ourselves have the leisure here to discuss all of that in detail.". (shrink)